Evaluation of ERAS Protocol in General Surgery

Dagistanli, Sevinc; Kalaycı, Mustafa; Kara, Yasi̇n

doi:10.5222/iksst.2018.43043

Cited by 4 publications

(8 citation statements)

References 75 publications

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“…ERAS aims to maintain the physiological functions of the individual and to ensure early mobilization in the postoperative period by reducing the intensity of the physical and psychological stress associated with the respective surgery 1,3 . A general preoperative evaluation is required for all patients, who will undergo elective surgery, in order to determine if the scheduled intervention will be appropriate for the particular patient 3 .…”

Section: Discussionmentioning

confidence: 99%

“…Existing anemia should be diagnosed prior to elective surgery, and iron deficiency should be treated along with any underlying disorders. Treatment of preoperative anemia is critical to avoid transfusion and/or the adverse consequences of anemia 1 . This type of approach to treating preoperative anemia is considered both beneficial in improving patientassociated clinical outcomes and effective as a strategy for the efficacious use of healthcare resources along with reducing the costs 13, 14 .…”

Section: Discussionmentioning

confidence: 99%

“…"Enhanced Recovery After Surgery" (ERAS) is a set of evidence-based care pathways performed by a multidisciplinary professional healthcare team in order to assist patients in achieving a faster recovery in the postoperative period 1 . It has been proven that perioperative complication rates, morbidity, the length of hospital stay, and cost of hospitalization are reduced by the implementation of ERAS protocols 2,3 .…”

Section: Introductionmentioning

confidence: 99%

“…It has been proven that perioperative complication rates, morbidity, the length of hospital stay, and cost of hospitalization are reduced by the implementation of ERAS protocols 2,3 . ERAS protocol comprises multiple components, including preoperative optimization 1 .…”

Section: Introductionmentioning

confidence: 99%

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Anesthetists and surgeons in ensuring preoperative optimization

Kesi̇ci̇

Türkmen

2019

Cumhuriyet Medical Journal

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This survey study was designed with the aim of questioning tobacco and alcohol use as two major components of preoperative optimization, evaluating the elements of the preoperative period other than the treatment of anemia, evaluating whether these elements were performed in compliance with the protocols by anesthetists and surgeons, and suggesting solutions for overcoming deficiencies. Method: Specialist physicians in anesthesia and surgeons from several branches, who worked in 4 different healthcare centers in Istanbul, were included in this 15-question survey. Results: A total of 116 physicians participated in this survey study. Of the participating physicians, 47 (40.5%) were anesthetists, and 69 (59.5%) were surgeons. A total of 115 (99.1%) physicians answered "yes" to the following question: "Do you inform and train your patient in the preoperative period about the scheduled surgical procedure/anesthesia method and the essential principles?". To the question "do you stress to your patients in the preoperative period that stopping smoking is necessary for the period of 4 weeks prior to surgery?", 88 (75.9%) physicians answered "yes." Only 47 (40.5%) physicians answered "yes" to the following question: "In the preoperative period, do you stress to your patients using alcohol that stopping alcohol use is necessary for the period of 4 weeks prior to surgery?" Conclusions: Our survey study conducted with the participation of physicians with an experience of more than 10 years demonstrated favorable outcomes, revealing that all physicians provided information and training for their patients in the preoperative period and all but 1 physician followed up the blood sugar level of diabetic patients for regulating the blood sugar levels. However; we are of the opinion that further collaboration of physicians within a team concept and in compliance with the preoperative optimization guidelines will be useful to ensure early and fast recovery in the postoperative period by limiting the tobacco/alcohol use of patients in the preoperative period, providing appropriate nutrition preoperatively, enabling access of patients to prehabilitation, administering adequate premedication, and providing anemia management.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Anesthetists and surgeons in ensuring preoperative optimization

Kesi̇ci̇

Türkmen

2019

Cumhuriyet Medical Journal

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“…In these patients, multimodal management of nausea and vomiting, use of nasogastric catheter, application of urinary catheter and withdrawal time, stimulation of gastrointestinal motility, appropriate analgesia, when to feed the patient, and especially early mobilization are important in the postoperative period [20,21].…”

Section: Postoperative Care and Prevention Effortsmentioning

confidence: 99%

Surgical Recovery of Intestinal Obstructions: Pre- and Postoperative Care and How Could it Be Prevented?

Kanat¹,

Eröz²,

Saçli³

et al. 2020

Surgical Recovery

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Although initial data on intestinal obstructions are based on Hippocrates, there is still no consensus on approaches today. However, parallel to the development of medical technology and the increasing experience of us surgeons, morbidity and mortality rates due to intestinal obstruction have decreased. Obstruction can occur at any point in the gastrointestinal tract. The main thing is to make a correct diagnosis and to treat the patient in the most correct way. Intestinal obstructions usually present with colic abdominal pain, nausea, vomiting, and constipation. Intestinal obstructions may be present due to various reasons. Surgeons have an important role in preventive mechanical obstructions due to adhesions. Patients must be hospitalized. If there is no emergency surgical indication, conservative methods can be applied. Patients should be mobilized early, and fluid-electrolyte balance should be adjusted and followed closely.

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Enhanced recovery after surgery (ERAS) and anesthesia

Solmaz

Kirdemi̇r

2020

Acta Medica Alanya

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ÖZERAS (Enhanced recovery after surgery) perioperatif yönetimi optimize etmeyi amaçlayan multimodal bir yaklaşımdır. ERAS, organ disfonksiyonunu ve cerrahi stres yanıtını azaltmak için preoperatif, intraoperatif ve postoperatif bakımdaki değişikliklerin bir bütünüdür. Bu kavram hastanın cerrahi stres yanıtını azaltmak, fizyolojik fonksiyonlarını düzeltmek ve iyileşmeyi kolaylaştırmak amacıyla çeşitli uzmanlık alanlarını içeren multidispliner ekipler tarafından yönetilir. Günümüzde değişik cerrahi uzmanlık alanlarında bu gelişmeleri daha da arttırmak amacıyla bu konu ile ilgili protokoller oluşturulmuş ve birçok sağlık kuruluşu hizmetlerini bu kavrama dayalı bir şekilde sunmaktadırlar. ERAS protokollerinin kullanımı ile periopetif ve postoperatif komplikasyonlarda azalma, hasta sağ kalımında ve bakım kalitesinde artış ve hasta memnuniyetinde belirgin gelişmeler sağlanmıştır

show abstract

Evaluation of ERAS Protocol in General Surgery

Cited by 4 publications

References 75 publications

Anesthetists and surgeons in ensuring preoperative optimization

Anesthetists and surgeons in ensuring preoperative optimization

Surgical Recovery of Intestinal Obstructions: Pre- and Postoperative Care and How Could it Be Prevented?

Enhanced recovery after surgery (ERAS) and anesthesia

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